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The lumbar portion of the spine bears the most body weight and also provides the most flexibility, a combination that makes it susceptible to injury and wear and tear over time. This is why low back pain is so prevalent.[1]

Spinal manipulation therapy (SMT) that uses compression on the spinal joints may also be a treatment consideration. A 2015 study published in the journal Spine found that this type of therapy works for some, but not all. Typically, SMT is performed by chiropractors and physical therapists. It has been controversial, with some medical experts claiming that it works, while others claim that it doesn’t. The big finding is that both sides have been right all along, said Greg Kawchuk, a professor of rehabilitation medicine at the University of Alberta and co-author of the study.

Back pain can have many underlying reasons, but often no specific cause will be found and the pain will stop. This chapter will review many of the causes of back pain and proper evaluation and diagnosis. Please be sure to discuss your individual symptoms as well as the suggested treatments with your health-care professional to determine the appropriate diagnostic and treatment plan for your circumstances.

^ Jump up to: a b c Stockwell, Serena (2017-05-01). New Clinical Guideline for Low Back Pain Says Try Nondrug Therapies First. AJN, American Journal of Nursing. 117 (5). doi:10.1097/01.naj.0000516263.01592.38. ISSN 0002-936X.

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Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler’s educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

Your work station should be set up so as to improve posture. Consider the placement of your desk or computer work station and where your monitor and keyboard sit. Finding the best way to sit at a desk will promote improved upper back and neck posture.

DG participated in the study design, data collection, analysis and manuscript writing. JT participated in the study design, analysis and manuscript writing. ST carried out the data collections, processing and reviewed the manuscript. DS carried out the analysis and reviewed manuscript. All authors read and approved the final manuscript.

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Intradiscal electrothermal therapy (IDET) is a treatment for discs that are cracked or bulging as a result of degenerative disc disease. The procedure involves inserting a catheter through a small incision at the site of the disc in the back. A special wire is passed through the catheter and an electrical current is applied to heat the disc, which helps strengthen the collagen fibers of the disc wall, reducing the bulging and the related irritation of the spinal nerve. IDET is of questionable benefit.

A good lumbar support should also be portable, because most people require this product in more than one situation in their day to day life. The product should also be made with good materials, so your lumbar support is both comfortable and durable.

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Cigarettes aren’t just hell on your heart and lungs. Smokers have a higher incidence of recurring back problems, Dr. Katz says. The cause and effects of this are many. Nicotine restricts blood flow to vertebrae and disks, so they may age and break down more quickly. It may also interfere with the body’s ability to absorb and use calcium, leading to osteoporosis-related bone and back problems. You know what you have to do: Quit. Go to smokefree.gov to customize your own smoking cessation plan.

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